Osgood- Schlatter Essay

778 Words Jun 25th, 2012 4 Pages
Osgood–Schlatter disease or syndrome (also known as tibial tubercle apophyseal traction injury) is an irritation of the patellar ligament at the tibial tuberosity. Sinding–Larsen–Johansson syndrome is an analogous condition involving the patellar tendon and the lower margin of the patella bone, instead of the upper margin of the tibia.
The condition occurs in active boys and girls aged 9–16 coinciding with periods of growth spurts. It occurs more frequently in boys than in girls, with reports of a male-to-female ratio ranging from 3:1 to as high as 7:1. It has been suggested the difference is related to a greater participation by boys in sports and risk activities than by girls.
The condition is usually self-limiting and is caused by
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Impact of the affected area can be very painful. Bilateral symptoms are observed in 20–30% of patients.
The symptoms usually resolve with treatment but may recur for 12–24 months before complete resolution at skeletal maturity, when the tibial epiphysis fuses. In some cases the symptoms do not resolve until the patient is fully grown. In approximately 10% of patients the symptoms continue unabated into adulthood, despite all conservative measures. The condition is named after Robert Diagnosis is made clinically, and treatment is conservative with RICE (Rest, Ice, Compression, and Elevation),Bracing or use of an orthopedic cast to enforce joint immobilization is rarely required and does not necessarily give quicker resolution. Sometimes, however, bracing may give comfort and help reduce pain as it reduces strain on the tibial tubercle.
Surgical excision may rarely be required in skeletally mature patients. In chronic cases that are refractory to conservative treatment, surgical intervention yields good results, particularly for patients with bony or cartilaginous ossicles. Excision of these ossicles produces resolution of symptoms and return to activity in several weeks. Removal of all loose intratendinous ossicles associated with prominent tibial tubercles is the procedure of choice, both from the functional and the cosmetic point of view. According to one study, in the great majority of young adults, the functional outcome of surgical treatment of

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